HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
^- _ 108 8th Street, Suite 401RFGEH{Efu springs, co 81601
: 197O1945-82t2' www;garfield-countv.com
GAR FIELD C OUNTY
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BUILDING PERMIT
APPLICAîION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
I Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
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Email Address:
Phone:
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Contractor:
Architect
Mailing Address
Email Address:
Mailing Address
Email Address:
Mailing Address:
Email Address:
Engineer:d8Phone:n @
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Phone: (Manufactured Home lnstaller:
Mailing Address:
EmaÍl Address:
PROJECT DETAILS
Describe Work:
Job Address:
Height:
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Property Size (Sq. Ft. or Acres), 3,\Uc,
# of Floors I
Lot/
tJe¿) M/151
Block _
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Sub.
Owner's Valuation of Work:
Sq. Ft. of Building:
New Remodel/Alteration AdditionClass of Work:ilx
Garage:Attached Detached
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PROJECT DETAILS CONTINUED
Driveway
Permit:
mpt Permit #
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application'
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
I CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will
comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the
Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use
of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work' I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other
applicable law. Review of this Application, including submittals, and inspections of the work by the Building
Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
Irê neer and or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Owner Print and Sign Date
IW CommunitySeptic:
Other
ffirooane @*""'Type of Heat:Natural Gas
OFFICIAL USE ONTY 1,r"1?.'lz øÇ,11røþøz¡ ç!*.>
Special Conditions:
Adiusted Valuation: .i a¡-t3^qb7"7b
Plan Check Fee:
4/^ [,¿13^30
Permit Fee:
6a,5&.8,t5 Manu. Home Fee:x/x
Misc. Fees: ^4KIF = 2,0q3,'r
Total Fee-s:
Ç4, t yl"'/5 Feás Paid:
J t,t lz,lz Balánce Due:
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BP NO:gLf\€-îô3¡OWTS No:
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OCC Group:
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Const. Type:
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Zoning:Ruø¡t-
8-24-BUttDtNG / PIANNING DIVISION
Signed Approval Date
2/
Garfield County
BUILDING DEPARTMENT
108 Eiqhth Street, Su¡te 40L, Glenwood Spr¡ngs, CO 8L607
Tel: (970) 945-8272
PLAN REVI EW C HECKLIST
Permit No: ØlRtl-oØ * z l-7o 3 I
YE9 Septic Permit and Setbacks
SEF7_7a32-fvfb Grade/Topography 30%
Building lssues
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Engineered Foundation
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Surveyed Site Plan
Plan ning/Zoning lssues
UND Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
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t/ Road lmpact Fees
N Grade/ Topography 40%
t/Planning lssues
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Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No'
40# Snowload Letter - Manu. Homes
Soils Report
Ftl 3532 * 74, bØ= 21"327bq 'vb
Subdivision Plat
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Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specifiel. pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs'
NOTE: lf any required information is missing, delayg in issuing the permit are to be expected' lf
determined by the Building official that additional information is necessary to review the application
and/or plans ior comptianðe, the application may be placed on hold untilthe required information is
provided. work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee' as
well as anyÞoad lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
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Property Owner P rint and Sign
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COND ITIONS OF P ERMIT
B LRE-08-2 1 -7 031
SEPT-08-21-7 032
Keila Valenzuela
SINGLE-FAMILY DWELL¡NG W/ ATTACHED GARAGE
TBD CR 103, Carbondale
Callicotte Ranch, Lot 27
1) ALL WORK SHALL COMply W|TH THE 20',15 INTERNATIONAL RESIDENTIAL CODE
(l,R.c.)AND 2009 INTERNATIONAL ENERGY CONSERVATION CODE (l.E,C.C,)
2) PROPOSED IMPROVEMENTS ARE SUBJECT TO ALL APPLICABLE ITEMS CONTAINED
IN THE ATTACHED "GARFIELD COUNTY BUILDING REOUIREMENTS". NUMBER
REFERENCES NOTED ON PLANS REFER TO SPECIFIC ITEMS ON THIS LIST.
3) ELECTRTCAL PERMtTTtNG AND INSPECTIONS BY COLORADO STATE ELECTRIC
BOARD, ELECTRICAL ROUGH.IN APPROVAL IS REOUIRED AT FRAME INSPECTION
ELECTRICAL FINAL APPROVAL IS REOUIRED FOR FINAL INSPECTION &
CERTIFICATE OF OCCUPANCY,
4) WILDFIRE MITIGATION REOUIREMENTS: COMPLY WITH WILDFIRE MITIGATION
AND DEFENSIBLE SPACE REOUIREMENTS PER COLORADO STATE FOREST SERVICE
AND LOCAL FIRE DISTRICT,
5) OPEN-HOLE SOTLS REPORT REOUTRED AT FOOTING INSPECTION TO VERIFY 2.OOO
PsF SOIL BEARING CAPACIry. PROVIDE COPY OF ENGINEER'S REPORT FOR
BUILDING INSPECTOR REVIEW AT FOOTING INSPECTION.
6) PRE-FABRTCATED ROOF TRUSSES. HAVE ENGINEERING FOR INSPECTOR AT TIME
OF FRAME INSPECTION
7) A LOT IMPROVEMENT CERTIFICATE, SEALED BY A COLORADO LICENSED
SURVEYOR, IS REOUIRED AT FOUNDATION INSPECTION TOVERIFY STRUCTURE -
INCLUDING ROOF OVERHANGS, DECKS AND OTHER PROJECTIONS - IS IN
COMPLIANCE WITH MINIMUM SETBACKS AND/OR BUILDING ENVELOPE
REOUIREMENTS.
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